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July 1988, Vol 142, No. 7 >
Article | July 1988

Are We Sweeping DTP Contraindications Under the Rug? FREE

HOWARD BRAUER, MD
Am J Dis Child. 1988;142(7):698. doi:10.1001/archpedi.1988.02150070012001.
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Sir.—A number of articles have been published recently advocating the prophylactic use of acetaminophen to modify children's response to diphtheria-pertussis-tetanus (DPT) vaccination. In general, pediatricians seem to be jumping on the bandwagon. However, I have some reservations about this. A number of contraindications to use of the vaccine have been published.1 Among these are temperature of 40.5°C, persistent crying, convulsions, and a number of other events temporally related to vaccine use. It is not certain if any of these have any predictive value at all, but if these are markers for future severe reactions, blunting them with the use of acetaminophen may be a dangerous thing to do. We might end up using the vaccine in a child who should not receive it but who had his response modified by acetaminophen in the past.

REFERENCES

1 +
 American Academy of Pediatrics Committee on Infectious Diseases : Report of the Committee on Infectious Diseases , ed 20, Peter G (ed). Elk Grove Village, Ill, American Academy of Pediatrics, 1986;, p 273.

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Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

References

1 +
 American Academy of Pediatrics Committee on Infectious Diseases : Report of the Committee on Infectious Diseases , ed 20, Peter G (ed). Elk Grove Village, Ill, American Academy of Pediatrics, 1986;, p 273.

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